Complaint Form - Behavior of City Employees

The City of Corvallis has established policies and procedures to receive, investigate, and act upon complaints by the public regarding the behavior of City employees. The purpose is to promptly address citizen concerns while protecting employee rights and protecting the integrity and reputation of the City and its employees.

This form is designed to assist the City in documenting information necessary for a thorough investigation. You do not have to use this form in order to file a complaint, but you will be asked to provide this same information in order to assist us in promptly and fairly conducting this investigation.

If you know the name of the employee(s) whose behavior is the source of the complaint, your complaint will be directed to that employee's supervisor. If you do not know the employee(s) by name, but know their department, the complaint will be directed to that department's Director. If you do not know the employee(s)' department, the complaint will be forwarded to the Human Resources Department for investigation. Complaints regarding a member of the Corvallis Police Department must be directed to the Police Department.

Affirmation

At the end of this form, you will be asked to verify that the information provided is correct. The City of Corvallis will investigate anonymous complaints or complaints filed by a representative of the complainant. However, if the anonymous complaint cannot be verified by other evidence, or the representative refuses to identify the complainant, the employee's response will be considered conclusive.

City's Responsibility

The City will make every effort to respond to the complaint within 30 working days, whenever feasible. If resolution is not possible within 30 days, you will be notified of the estimated completion time.

Information given to the City in the course of an internal investigation is not confidential. However, except as required by the Oregon Public Records Laws or the requirements of a thorough investigation, the City will only release information on a "need to know" basis. This includes informing the respondent employee of the nature of the allegations that have been brought. If you have questions about personal safety or personal privacy, you should discuss these questions with the Human Resources Department, the City Attorney's Office, or your own attorney prior to providing the information.

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Your Information

Your Name

Gender

Age

Your Street or Mailing Address

Phone Number

Business Phone (if applicable)

Where Did This Occur?

Date of Occurrence

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Time of Occurrence

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Time of Occurrence AM

Time of Occurrence PM

Description of Occurrence

Witness Information (if applicable)

Name

Street or Mailing Address

Phone Number

Is there any other statement you wish to make regarding this complaint?

Affirmation

Information given to the City in the course of an internal investigation is not confidential. However, except as required by Oregon Public Records Laws, or the requirements of a thorough investigation, the City will only release information gathered in the course of an internal investigation on a "need to know" basis. This includes informing the respondent employee of the nature of the allegations that have been brought. If you have questions about personal safety or personal privacy, you should discuss these questions with the Human Resources Division, the City Attorney's Office, or your own attorney prior to providing the information. By clicking "I affirm" you acknowledge that the information you have provided is correct.

I Affirm

Complaint Form - Behavior of City Employees

Affirmation

City's Responsibility

Contact Information